1.
Assessment
Item
1
0
NA
Danger
1st
Responder
Environment
Patient
Situation
Response
1st
Spontaneous
Responder
Voice
Pain
Send
for
help
1st
Responder
Emergency
call
Phone
for
help
Airway
Airway
Role
Assess
airway
Clear
airway
–
suction
Airway
manoeuvre
Airway
adjunct
Breathing
Airway
Role
Look
for
chest
rise/fall
Listen
for
air
entry
Feel
for
breath
Circulation
Circulation
Role
CPR
per
BLS
Pulse
Check
for
ALS
IV/IO
Access
Obtained
Time
to
CPR:
mins
Defibrillator
Defib
Role
Connect
defib
pads
Assess
rhythm/pulse
Shock
at
200J
if
VT/VF
Time
to
shock:
mins
Drugs
Drug
Role
Adrenaline
1mg
PEA
=
Immediately
VF/VT
=
Post
2nd
shock
Amiodarone
300mg
VF/VT
=
Post
3rd
shock
Reversible
Causes
Team
Leader
&
Team
Hypoxia
• Assess
• Treat
Hypovolemia
• Assess
• Treat
Hypo/Hyper
K
&
Metabolic,
BGL
• Assess
• Treat
Hypo/Hyperthermia
• Assess
• Treat
Tension
Pneumothorax
• Assess
• Treat
Tamponade
• Assess
• Treat
Toxins
• Assess
• Treat
Thrombus
• Assess
• Treat
Total
Score
=
Adult
ALS
Score
Global
Ratings
of
Team
Performance
Never
Rarely
Occasionally
Frequently
Always
Effective
Airway
Maintained
1
2
3
4
5
(BVM
+/-­‐
LMA/ETT)
Effective
CPR
Maintained
1
2
3
4
5
(rate/depth
rotation
2mins)
Adhered
to
ALS
Algorithm
1
2
3
4
5
(2
minute
cycles)
Clear
Team
Roles
1
2
3
4
5
Communication
Effective
1
2
3
4
5
(closed
loop)
Effective
transition
to
Post
1
2
3
4
5
Resus
Care